Andrade Suzana Carvalho Vaz de, Marcucci Rosa Maria Bruno, Faria Lilian de Fátima Costa, Paschoal Sérgio Márcio Pacheco, Rebustini Flávio, Melo Ruth Caldeira de
Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil.
Secretaria Municipal de Saúde, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2020 Apr 6;18:eAO5263. doi: 10.31744/einstein_journal/2020AO5263. eCollection 2020.
To assess the health profile of community-dwelling older adults, according to sex, assisted by the Elderly Caregiver Program of the City of São Paulo.
Secondary data of 535 older adults, assisted by ten Elderly Caregiver Program teams from the southern region of São Paulo, were collected from medical records and the Multidimensional Evaluation of Older People in Primary Care, after verifying the inclusion and exclusion criteria for the study and obtaining subjects' consent.
Older adults assisted by this program were predominantly female (77.6%), mean age of 76.2±8.0 years. They had negative self-rated health (67.8%), difficulties in instrumental activities of daily living (68.4%) and signs of mood changes (60.3%). A high prevalence of older adults with vision problems (58.8%), polypharmacy (58.1%), memory-related complaints (55.8%) and multiple morbidities (50.6%) were observed. The prevalence of multiple morbidities, polypharmacy, cognitive impairment and signs of mood changes were higher in women. On the other hand, men reported more hearing problems than women.
The poorer health conditions of the older adults in this study, evidenced by a high prevalence of subjects with negative self-rated health, difficulties in instrumental activities of daily living, multiple morbidities, polypharmacy and other complaints (sensorial changes, depressive and cognitive symptoms), reinforce the importance of this program as a long-term care policy and as a way to ensure these older adults can continue living in their communities.
在圣保罗市老年护理者项目的协助下，根据性别评估社区居住老年人的健康状况。
在核实研究的纳入和排除标准并获得受试者同意后，从医疗记录和初级保健中老年人多维评估中收集了圣保罗南部地区十个老年护理者项目团队所协助的535名老年人的二手数据。
该项目所协助的老年人以女性为主（77.6%），平均年龄为76.2±8.0岁。他们自我评估健康状况不佳（67.8%），在日常生活工具性活动方面存在困难（68.4%），并有情绪变化迹象（60.3%）。观察到视力问题老年人（58.8%）、多重用药（58.1%）、记忆相关主诉（55.8%）和多种疾病（50.6%）的患病率较高。多种疾病、多重用药、认知障碍和情绪变化迹象的患病率在女性中更高。另一方面，男性报告的听力问题比女性多。
本研究中老年人健康状况较差，自我评估健康状况不佳、日常生活工具性活动困难、多种疾病、多重用药及其他主诉（感官变化、抑郁和认知症状）的受试者患病率较高，这强化了该项目作为长期护理政策以及确保这些老年人能够继续在社区生活的方式的重要性。
